Lesson Plan Correct and Consistent Condom Use

Transcription

1 TOPIC: Correct and Consistent Condom Use SUBJECT: Life Skills IDEAL NUMBER OF LEARNERS: 40 TARGET AGE RANGE: TIME: 45 minutes WHAT ADVANCE PREPARATION, IF ANY, IS REQUIRED OF THE TEACHER FOR THIS LESSON? Find out if the female condom is available locally and where. Review the information about male and female condoms from a reliable source. Review the Correct Steps in External or Male Condom Use Teacher Answer Key. Review the Teacher s Resource about Condoms. Prepare one set of 10 pieces of paper for steps on external or male condom use (see Correct Steps in Condom Use Teacher Answer Key ). LEARNING OUTCOMES: By the end of this lesson learners will be able to: 1) Describe at least three obstacles to condom use and how these obstacles can be addressed. [knowledge] 2) Describe correct steps for the use of a male, latex condom. [knowledge] LIFE SKILLS DEMONSTRATED IN THIS LESSON: 1) Critical thinking skills 2) Decision making skills 3) Negotiation skills 4) Communication skills RESOURCE MATERIALS FOR TEACHER: Chalkboard and chalk Correct Steps in External or Male Condom Use Teacher Answer Key Teacher s Resource about Condoms 10 prepared pieces of paper for steps for the use of the male condom If appropriate, sample male and female condoms for demonstration purposes MATERIALS FOR LEARNER: None 258

2 This lesson is enhanced when learners have the following background knowledge: Content from the International Technical Guidance on Sexuality Education Key Concept 6 Sexual and Reproductive Health; 6.1 Pregnancy Prevention PROCEDURE: Step 1) Introduce the concept by explaining the following, Today we will be discussing condom use and how to use condoms consistently and correctly. Ask the following questions and write down learners responses on the chalkboard: What do you know about condoms? Why is it important to know about condoms? Step 2) 5 minutes for Steps 1 & 2 Introduce the topic by explaining, One of the reasons that people don t use a condom is that they do not know how to use one. That is not a good reason to end up with a serious health problem, so we are now going to learn the proper way to use a male condom. Being old enough to learn how to use a condom does NOT mean you are ready to have sex, but it is better to know how to use a condom BEFORE you need it, not after you have sex, when it s too late. When using condoms, you can take some steps well ahead of time, that is, before you are in an intimate situation. Some steps you can take when you are already in an intimate situation but immediately before sex actually takes place. You should know what to do regarding condom use before, during, and after sex. [Teacher s Note: On the board, create four columns and write well ahead of time, immediately before, during sex, and after sex, at the top of each column.] Step 3) 5 minutes Explain the activity by saying, I have broken down all the steps involved in correct use of a male condom and put each step on 10 separate pieces of paper. I will hand out these papers to some volunteers. Each volunteer should work with one or two learners seated near them to figure out which column the step goes in. Point out the four columns on the board. Go on to explain, The first column will include steps that should be carried out well ahead of time. The next column will show the steps to be carried out immediately before sex. The third column will include steps that may be involved during sex. The fourth column will display steps to be taken after sex. Within the columns, try to put each step in order as well. You have five minutes. Step 4) 10 minutes Stop the process after five minutes and bring the whole group together. Review each of the four columns together with the learners ensuring the steps are in the correct order as indicated on the Correct Steps in External or Male Condom Use Teacher Answer Key. Make sure to rearrange any steps that were in the wrong column or within a column, in the wrong sequence. Once each of the 10 steps is in the correct column, go on to tell students about the female condom by saying, In addition to a condom worn on a penis, there is also a condom that can be worn inside the vagina. [Teacher s Note: If you are able to show a female condom, this is a great time to display it for your students to see.] This condom is inserted into the vagina before sex with a partner and captures the semen inside the condom so it does not get into the body. The condom should be removed after sex and thrown away. The female condom, like the male condom, should only be used one time and can be obtained from some of the same places where male condoms are available. 259

3 PROCEDURE (CONTINUED): Step 5) 5 minutes Next brainstorm with learners five reasons why some young people don t use condoms each time they have sex. Ask whether these reasons are different if you are male or female and why. Write these reasons or barriers on the chalkboard as your learners brainstorm the first five that come to mind. The list might include barriers such as: Embarrassed to talk about or buys condoms Believe it is boys responsibility to bring condoms or that good girls don t carry condoms Can t afford to buy condoms Don t think they are at risk for pregnancy or STIs Don t think sex will feel as good with a condom [Teacher s Note: If you are doing this lesson with very young learners, you will need to help them brainstorm these responses since they are likely to be too young to know why young people may not to use condoms.] Step 6) 10 minutes Have learners form pairs with someone seated near them and have each pair select one of the five barriers from the chalkboard to work with. Explain the directions by saying, You and your partner will come up with one way that young people could overcome that barrier to using condoms. For example, if you select can t afford condoms as your barrier, you and your partner might suggest that a young person could either borrow money or find a youth center that gives away condoms for free. So first select the barrier you want to work with from the list on the chalkboard and then come up with a way that a young person could overcome that barrier. Give learners a few minutes to complete the task. [Teacher s Note: If learners come up with a lot of myths about condom use instead of barriers to their use, use the Teacher s Resource about Condoms to refute those myths as needed.] Step 7) When most pairs seem to be done, gather the attention of learners and ask for three volunteers to share the barrier they chose and what ideas they had for ways young people could overcome those barriers. Write the suggestions on the chalkboard. The suggestions for overcoming common barriers might include: Good communication between partners Knowing how to use a condom and where to get them Understanding the risks of unprotected sex (how you get pregnant and how you can acquire STIs, including HIV) Step 8) 10 minutes for Steps 7 & 8 As a closure to this lesson, ask the following question and try to bring in gender perspectives: Who is responsible for condom use? End the lesson by saying, It is critical and in fact it is your right as young people to know how to use condoms consistently and correctly and how to anticipate potential barriers to condom use and ways to overcome those barriers. This information protects health and saves lives. 260

4 KEY MESSAGES OF LESSON: 1) The consistent and correct use of condoms is an important strategy to protect oneself and one s partner from unintended pregnancy and STIs, including HIV. Male and female condoms are currently the only method that provides dual protection (protection against pregnancy and STIs, including HIV). It is also possible to use a male or female condom with another method of contraception to maximize protection, such as the pill or injectables. 2) There are many steps to using condoms correctly. 3) While there are challenges to using condoms, it s possible to anticipate these and identify solutions. ASSESSMENT OF LEARNING OBJECTIVES AT CONCLUSION OF LESSON Teachers can ask learners to write down one barrier and one solution to using condoms correctly and consistently and submit for assessment of the learning objectives. HOMEWORK WITH FOCUS ON FAMILY INVOLVEMENT ACTIVITIES: None POSSIBLE ADAPTATIONS: 1) Large class size Teachers can conduct the activity on identifying solutions to barriers in small groups instead of pairs or as a whole class. 2) Limited materials/technology None Adapted from: It s All One, Activity 47 Gender and Condom Use, pages , Copyright 2009 The Population Council, Inc. Revised first edition, printed 2011 and Source: NHS Choices

5 Correct Steps in External or Male Condom Use Teacher Answer Key Note to Teachers: Prepare 10 pieces of paper and write one step from the list below on each piece. DO NOT INCLUDE THE STEP NUMBER, as those are shown just for your reference in the answer key guide and will make the activity too easy for learners. Remember that steps 1 3 in the Well Ahead of Time column are all flexible in terms of sequence. Well Ahead of Time Column 1. Buy condoms (and lubricant) or find a health center or community based organization that gives them away for free. 2. Check the expiration date of the condom and be sure the date has not passed. 3. Practice putting on a condom on the penis, or your hand, or if available, a banana so that you are comfortable using one later. Immediately Before Sex Column 4. Open the condom gently, being careful not to rip it (don t use teeth!) 5. When the penis is erect, squeeze the tip of the condom and place it over the head of the penis with one hand while you unroll the condom over the length of the penis with the other hand. Make sure penis is covered completely. 6. If having vaginal sex, ensure that the vagina is lubricated or if having anal sex, that the anus is lubricated so that the condom will not break or tear. Use additional lubricant as needed, but never use oil based lubricant, as it will cause the condom to break. During Sex Column 7. If the condom breaks during sex, the male should pull out immediately and the couple should consider using emergency contraception to prevent pregnancy. 8. After ejaculation, while the penis is still erect, hold onto the condom at the base of the penis and pull out of partner s body. Immediately After Sex Column 9. Turn away from partner s body and carefully remove condom from the penis without spilling any semen that may be inside the condom. 10. Dispose of the condom as you would do for other trash (do not flush down a toilet). Never re use a condom. 262

6 Teacher s Resource About Condoms Below is a list of common myths about condoms and the factual information to dispel the myth. The following publication from UNFPA might also be helpful: https://www.unfpa.org/sites/default/files/pub-pdf/myths_condoms.pdf MYTH: It s safer if you use two condoms. TRUTH: Whether it s two male condoms or a male and female condom, using two condoms is not better than one as they are more likely to break. Only use one condom at a time. MYTH: Condoms break easily. TRUTH: No they don t. To avoid a condom breaking, you need to put it on carefully and make sure there's no air bubble at the end. Be careful of sharp nails, jewelry or teeth. If the condom won t roll down, it s the wrong way round. Throw this condom away and start again with a new one as there could be semen on the tip of the previous condom. If a condom breaks and you re not using any other contraception, go to a health center as soon as possible and ask about emergency contraception. You may also need to get tested for sexually transmitted infections (STIs), including HIV. MYTH: Condoms are the only type of contraception I need to think about. TRUTH: No they re not. Condoms can provide protection from STIs and unplanned pregnancy. But to get the best protection, it's better if you and your partner use a condom and another form of contraception. There are lots of different types of contraception, including the implant, injectables, the copper IUD coil, or the pill. It's worth exploring all options. MYTH: You need extra lube. Vaseline is good. TRUTH: No it s not. A bit of extra lubrication is good but don t use anything with oil in it as it can dissolve the condom. That includes baby oil, Vaseline and hand cream. Lipstick has oil in it too. Use a water based lubricant, such as KY jelly from a pharmacy or supermarket. MYTH: Condoms make me less sensitive. TRUTH: Using a condom doesn t have to spoil the moment. They can make some men last longer before they come, which is good news for both partners. There are lots of different sizes, shapes, colors, textures and flavors of condoms, so enjoy finding the one that suits you both best. MYTH: Condoms cut off my circulation. TRUTH: No they don t. A condom can stretch to 18 inches round. There are many different shapes and sizes that you can try. MYTH: My girlfriend is on the pill, so we don t need condoms. TRUTH: Yes you do. The pill does not protect you or your partner from STIs, including HIV. Also, if your girlfriend forgets to take a pill, has been sick or has been using antibiotics, the effectiveness of the pill is lower and she could still get pregnant. 263

7 Teacher s Resource About Condoms MYTH: If I ask to use a condom, my partner will think less of me. TRUTH: Insisting that you use a condom suggests that you know how to take care of yourself and shows that you know what you want, which can be very sexy. MYTH: You don t need a condom if you re having oral sex. TRUTH: Actually, HPV, gonorrhea, chlamydia, herpes, and HIV can be passed on by oral sex. You can protect yourself with a condom (worn on the penis for a male receiving oral sex or cut into a sheet for a female receiving oral sex). MYTH: As a young person, you aren t allowed to get condoms. TRUTH: Young people can usually get condoms from peer educators, community health workers, health centers, pharmacies, stores, or community based organizations. MYTH: I don t need a condom because my partner seems healthy. TRUTH: The way someone looks is no indicator of whether they have an STI, including HIV. A person may look healthy and still have an STI, including HIV. Lots of STIs don t have any symptoms, so you could infect each other without even knowing it. MYTH: All condoms provide the same level of safety. TRUTH: Not necessarily while most condoms are very effective, it s important to use them correctly and consistently. Condoms need to be stored properly and not be expired to be used correctly. Also, there are some novelty condoms for sale that are made for fun, such as glow in the dark condoms, that don t provide protection from pregnancy and STIs. Choose condoms that are from a well known brand or source and check the expiration date before use. Source: NHS Choices

All about the FC2 female condom All about the FC2 female condom for enjoyable safer sex When you talk to people about FC2 female condoms for the first time, they often have many questions about it. And

13: Condoms Purpose: To empower students to protect themselves from STDs, HIV, and unwanted pregnancy by using condoms correctly and consistently every time they have sex. Stages of Change Process: Getting

Unit 17 BARRIER METHODS (MALE AND FEMALE CONDOMS) Learning Objectives By the end of this unit, learners will be able to: Describe condoms Explain the effectiveness of condoms and how they work List the

your guide to male and female condoms Helping you choose the method of contraception that is best for you and male condoms female and female condom con dom male and female male an ale and female condoms

your guide to male and female condoms Helping you choose the method of contraception that is best for you and male condoms female and female condom con dom male and female male an ale and female condoms

How Misperceptions, Magical Thinking and Ambivalence Put Young Adults at Risk for Unplanned Pregnancy Contraception and Pregnancy: The True and the False QUESTIONS CONDOMS 1. It is okay to use the same

Table of Contents Why it is Important to Talk with Young People about HIV and AIDS 2 Facts about HIV and AIDS 3 How to Get Started 7 What to Say to Your Children About HIV and AIDS 8 Talking with Young

The Correct Use of Birth Control: In order for any method of birth control to be effective, it must be used correctly ALL THE TIME. This means: One condom every time you have sex One pill every day One

Intrauterine Device (IUD) Quick Facts Effectiveness in Preventing Pregnancy: Use: Of 100 women using IUDs for a year, about one may become pregnant. IUDs are better at preventing pregnancy than condoms,

BIRTH CONTROL AND PROTECTION Linking Lives Health Education Program A Birth Control and Protection Even if you decide to wait until you are much older before having sex, you are still going to hear all

Activity 2 Birth Control Student Objectives Students will 1. Identify different birth control options. 2. Build a personal value for making an informed choice about birth control. 3. Shape peer norms that

What is birth control? Birth control means things you can do to ensure that pregnancy only happens if and when you want it to. Birth control can mean abstinence. Abstinence is deciding not to do something,

FACTSHEET Condoms for the prevention of HIV and STI transmission Summary Condoms are physical barriers that can reduce the risk of a sexual exposure to HIV and sexually transmitted infections (STIs). They

I Choose Dual Protection FAMILY PLANNING Key facts An estimated 222 million women in developing countries would like to delay or stop childbearing but are not using any method of contraception. Some family

TAKE CHARGE OF YOUR SEXUAL HEALTH What you need to know about preventive services NATIONAL COALITION FOR SEXUAL HEALTH NATIONAL COALITION FOR SEXUAL HEALTH TAKE CHARGE OF YOUR SEXUAL HEALTH What you need

Understanding Fertility 6 Introduction The word fertile means the ability to become pregnant or to cause pregnancy. Basic knowledge of both the male and female reproductive systems is important for understanding

What is Chlamydia? Chlamydia is a common bacterial infection that is sexually transmitted and often causes no symptoms. If not treated, chlamydia can damage reproductive organs and make it difficult for

1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth

Family Planning Methods 7 Introduction Women, men, or couples can choose from many contraceptive methods to help them plan their family and prevent an unplanned pregnancy. They need to know that if they

Gonorrhoea Looking after your sexual health 2 Gonorrhoea Gonorrhoea is a bacterial sexually transmitted infection (STI). It can be painful and can cause serious health problems such as infertility in both

CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION CONTRACEPTION Your sexual health While every effort has been taken to ensure the accuracy of the information in this publication, it cannot replace

C h a p t e r 21 How to insert an IUD In this chapter: Help a woman decide if the IUD is right for her... 390 Before you insert the IUD... 391 Inserting the IUD... 392 Loading the Copper T IUD...393 After

This sequence of 24 lessons from the HealthSmart high school program provides a comprehensive sexual health education unit aligned with both the HECAT Knowledge and Skills Expectations and the National

Medicines To Help You Birth Control Guide This guide gives the basic facts about the different kinds of FDA-approved medicines and devices for birth control. Ask your doctor to tell you about all of the

Patient & Family Guide 2016 Sexually Transmitted Infections (STIs) and the STI Clinic Where to go. What to know. STIs are more common than you might think! www.nshealth.ca Sexually Transmitted Infections

Lesson 5 Puberty Overview In this informational lesson, students learn about puberty. Small groups brainstorm physical, emotional and social changes they think occur The class discusses and evaluates the

Family Planning for Healthy Living Project in Ghana : Stories of Peer Educators and Community Champions July 2008 Peer Educators Take Family Planning Messages to HIV-Positive Support Groups In Sub-Saharan

POSTNATAL CONTRACEPTION INTRODUCTION There are a number of methods available to help prevent pregnancy, with some of the most popular including condoms and birth control pills. Deciding which method is

Genital warts Looking after your sexual health 2 Genital warts Genital warts are the most common viral sexually transmitted infection (STI). They are caused by the human papilloma virus (HPV) which can

HPV and Cancer What is HPV? HPV is short for human papilloma (PAP-uh-LO-muh) virus. HPVs are a large group of related viruses. Each HPV virus in the group is given a number, which is called an HPV type.

SO YOU THINK YOU MIGHT BE FEELING SHOCKED, SCARED, PANICKED, CONFUSED, EMBARRASSED, ISOLATED OR LONELY? SUSSED is your one stop survival guide to everything you ll need to know if you think you, your girlfriend

Oral sex Looking after your sexual health 2 What is this booklet about? This booklet gives you information about oral sex, the risk of getting and passing on sexually transmitted infections through oral

Fact Sheet Women's Birth Control Choices Female contraceptive methods compared Choices in birth control for women today Birth control is an important issue for most women. Being able to control reproductive

Thought about sterilization? Think different! The intrauterine system as an alternative to sterilization. Oh, but this seems so final. What non-surgical, effective, long-acting birth control options are

International Planned Parenthood Federation Statement on Contraception and STI/HIV Protection for Adolescents Introduction The World Health Organization defines adolescence as the period between 10 and

maybe it s time to With Your Current And move on to 100% hormone free, more than 99% effective Paragard (intrauterine copper contraceptive) IUD. Paragard is indicated for intrauterine contraception for

Advocacy Resource Guide Making a Difference... Addressing HIV/AIDS among Youth ISSUE IN BRIEF The HIV/AIDS epidemic continues to play a significant role in the lives of adolescents and young adults today.

2005 Global Sex Survey results www.durex.com/gss Introduction Introduction More than 317,000 people from 41 countries took part in the world s largest ever survey on sexual attitudes and behaviour. The

your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge

your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you progestogen-o progesto progestogen-only pill progestogen-only progestogen-only p progestogen-only

A young person s guide to their are recognized around the world as Every person living with HIV is entitled to these rights and they are necessary for the development and well-being of all people and the

Lesson 8 Setting Healthy Eating & Physical Activity Goals Overview In this lesson, students learn about goal setting. They review the activity sheets they filled out earlier to log their eating and activity

Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to

Board Game Book Report As you are reading, create at least 25 questions (cannot be yes or no answers) to be used with your board game and that relate to your book. Using a manila folder, markers, and colored

1 Women s Menstrual Cycles About once each month during her reproductive years, a woman has a few days when a bloody fluid leaves her womb and passes through her vagina and out of her body. This normal

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Hormonal Contraception: Injections, Implants, Rings, and Patches In addition to oral contraceptives (birth control pills), there are several

Pregnant and don t know what to do? A guide to your options pregna regnant ant pregnan egnant 2 3 Are you but not sure you want to have the baby? Do you need more information about the options available

your guide to Helping you choose the method of contraception that is best for you I the IUD 2 3 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put into your uterus (womb).

Negotiation and Refusal Skills Lesson 6 Synopsis Students reflect on their first volunteer project visit. Negotiation and refusal skills are introduced and demonstrated through role plays. Students then

My Life This booklet is for teens. It will help you think about how the decisions you make today can help you live a healthy and happy life now and in the future. Property of: Now could be a great time

Safe & Unsafe Facts About abortion WHAT IS THE DIFFERENCE BETWEEN UNSAFE AND SAFE ABORTION? What is unsafe abortion? Unsafe abortion is a procedure for terminating an unplanned pregnancy either by a person

In recognition of April being National STD Awareness Month, let s take some time to understand the impact of sexually transmitted diseases in Los Angeles. In Los Angeles County the two groups most impacted

Making Sense of Your Pap and HPV Test Results Keep this booklet until you get your test results back from your doctor. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention

Genitourinary Medicine Emergency contraception Levonelle 1500 and Emergency IUD Information for patients page 2 This leaflet is about emergency contraception. It tells you about two methods of emergency

Dealing with Erectile Dysfunction During and After Prostate Cancer Treatment For You and Your Partner The following information is based on the general experiences of many prostate cancer patients. Your

Fertility Awareness Fertility Awareness-Based Methods Learn on which days of the menstrual cycle you can get pregnant To prevent pregnancy, you and your partner either avoid sex OR use a condom on fertile

Human Im munodeficiency Virus HIV -The Facts NHS Dumfries & Galloway would like to acknowledge NHS Greater Glasgow for the use of information contained in this leaflet. This leaflet is also available on

Chlamydia Looking after your sexual health 2 Chlamydia Chlamydia is one of the most common sexually transmitted infections (STIs). It is very easy to treat and cure. Up to one in 10 sexually active young

Policy Brief Comprehensive Sexuality Education (CSE): Sexual Rights vs. Sexual Health In recent years, sexual rights activists have shifted a great deal of their efforts to children and have made young

What Is HIV? HIV/AIDS: General Information & Testing in the Emergency Department HIV is the common name for the Human Immunodeficiency Virus. HIV is a retrovirus. This means it can enter the body s own

your guide to Helping you choose the method of contraception that is best for you IUD IUD the e IUD IU IUD the IUD 2 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put

Myth vs. Fact February 23, 2015 Release of the revised curriculum for Health and Physical Education, Grades 1 to 12 Myth: Students will be learning about having sex in Grade 1. Fact: In Grade 1, students

Sexuality after your Spinal Cord Injury Introduction Spinal Cord Injury (SCI) affects to varying degrees the mechanics and sensations of sex and sexuality. Some people think that spinal injury means an

Your Health, Your Rights A Guide to Free and Low Cost Sexual Health Care for Women in California This guide is all about your rights to health care. It outlines how to find honest, affordable, and confidential

Diseases that can be spread during sex Did you know... over 65 million people in the United States have a chronic, incurable sexually transmitted disease (STD)? and that every year another 19 million persons

HIV and AIDS in Bangladesh BACKGROUND The first case of HIV/AIDS in Bangladesh was detected in 1989. Since then 1495 cases of HIV/AIDS have been reported (as of December 2008). However UNAIDS estimates